Active NPI
Eric M. Sievers, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 7141233
- Practice address
- 329 Coatsland Dr
Jackson, TN 38301-3912 - Phone
- (731) 424-5080
- Fax
- (731) 424-4109
- NPI assigned
- Nov 6, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A74936 | CA | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | A74936 | CA | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 7141233 | TN | Primary |
Addresses
Primary practice location
329 Coatsland Dr
Jackson, TN 38301-3912
Mailing address
329 Coatsland Dr
Jackson, TN 38301-3912
Phone (731) 424-5080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- University of Southern California Keck School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000
700 W Forest Ave
Jackson, TN 38301-3937
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.74 of 100
- Quality
- 85.23
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 39 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A74936 | CA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| 7141233 | TN | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Tennessee Medical Group Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Jackson Madison County General Hospital | Past | Accepting new patients |
Locations
650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
329 Coatsland Dr
Jackson, TN 38301
Phone (731) 424-5080
700 W Forest Ave
Fl 44
Jackson, TN 38301
700 W Forest Ave
Ste 4
Jackson, TN 38301
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Jackson, TN
- NPI 1053615955
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320278400000",
"number": "1629222427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 COATSLAND DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013912",
"telephone_number": "731-424-5080",
"fax_number": "731-424-4109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 COATSLAND DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013912",
"telephone_number": "731-424-5080",
"fax_number": "731-424-4109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEVERS",
"first_name": "ERIC",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-06",
"last_updated": "2011-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A74936",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CA",
"license": "A74936",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "TN",
"license": "7141233",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.